Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing

The aim of this study was to evaluate the inter- and intraobserver correlation of the different intrapartum-transperineal-ultrasound-parameters(ITU) (angle of progression (AoP), progression-distance (PD), head-direction (HD), midline-angle (MLA) and head-perineum distance (HPD)) with contraction and...

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Authors: Sáinz Bueno, José Antonio, Fernández Palacín, Ana, Borrero González, Carlota, Aquise, Adriana, Ramos, Zenaida, García Mejido, José Antonio
Format: article
Status:Versión aceptada para publicación
Publication Date:2018
Country:España
Institution:Universidad de Sevilla (US)
Repository:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/161624
Online Access:https://hdl.handle.net/11441/161624
https://doi.org/10.1080/01443615.2017.1354179
Access Level:Open access
Keyword:Intrapartum ultrasound, labor
Pushing
Translabial ultrasound
Transperineal ultrasound
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spelling Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushingSáinz Bueno, José AntonioFernández Palacín, AnaBorrero González, CarlotaAquise, AdrianaRamos, ZenaidaGarcía Mejido, José AntonioIntrapartum ultrasound, laborPushingTranslabial ultrasoundTransperineal ultrasoundThe aim of this study was to evaluate the inter- and intraobserver correlation of the different intrapartum-transperineal-ultrasound-parameters(ITU) (angle of progression (AoP), progression-distance (PD), head-direction (HD), midline-angle (MLA) and head-perineum distance (HPD)) with contraction and pushing. We evaluated 28 nulliparous women at full dilatation under epidural analgesia. We performed a transperineal ultrasound evaluating AoP and PD in the longitudinal plane, and MLA and HPD in the transverse plane. Interclass correlation coefficients (ICC) with 95% CIs and Bland–Altman analysis were used to assess intra- and interobserver measurement’s repeatability. The ICC of the ITU for the same observer was adequate for all the parameters (p < .005) AoP 0.98 (95%CI, 0.96–0.99), PD 0.98 (95%CI, 0.97–0.99), MLA 0.99 (95%CI, 0.97–0.99), HPD 0.96 (95%CI, 0.88–0.99). The ICC of the ITU for interobserver was: AoP 0.93 (95%CI, 0.79–0.98), PD 0.92 (95%CI, 0.76–0.97), MLA 0.77 (95%CI, 0.42–0.92), HPD 0.47 (95%CI, −0.12–0.8). The HD had an interobserver correlation of 0.53 (95%CI, 0.1–0.9) (Kappa C). The mean difference of the AoP was 2.42°, of the PD 1 mm and 0.28° MLA (Bland–Altman test). ITU has an adequate intra- and interobserver correlation for its use with contraction and pushing under epidural analgesia.Informa HealthcareCirugíaMedicina Preventiva y Salud Pública2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/161624https://doi.org/10.1080/01443615.2017.1354179reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJournal of obstetrics and gynaecology, 38 (3), 333-338.https://www.tandfonline.com/doi/full/10.1080/01443615.2017.1354179info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1616242026-06-17T12:51:07Z
dc.title.none.fl_str_mv Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing
title Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing
spellingShingle Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing
Sáinz Bueno, José Antonio
Intrapartum ultrasound, labor
Pushing
Translabial ultrasound
Transperineal ultrasound
title_short Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing
title_full Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing
title_fullStr Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing
title_full_unstemmed Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing
title_sort Intra and interobserver variability of intrapartum transperineal ultrasound measurements with contraction and pushing
dc.creator.none.fl_str_mv Sáinz Bueno, José Antonio
Fernández Palacín, Ana
Borrero González, Carlota
Aquise, Adriana
Ramos, Zenaida
García Mejido, José Antonio
author Sáinz Bueno, José Antonio
author_facet Sáinz Bueno, José Antonio
Fernández Palacín, Ana
Borrero González, Carlota
Aquise, Adriana
Ramos, Zenaida
García Mejido, José Antonio
author_role author
author2 Fernández Palacín, Ana
Borrero González, Carlota
Aquise, Adriana
Ramos, Zenaida
García Mejido, José Antonio
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Cirugía
Medicina Preventiva y Salud Pública
dc.subject.none.fl_str_mv Intrapartum ultrasound, labor
Pushing
Translabial ultrasound
Transperineal ultrasound
topic Intrapartum ultrasound, labor
Pushing
Translabial ultrasound
Transperineal ultrasound
description The aim of this study was to evaluate the inter- and intraobserver correlation of the different intrapartum-transperineal-ultrasound-parameters(ITU) (angle of progression (AoP), progression-distance (PD), head-direction (HD), midline-angle (MLA) and head-perineum distance (HPD)) with contraction and pushing. We evaluated 28 nulliparous women at full dilatation under epidural analgesia. We performed a transperineal ultrasound evaluating AoP and PD in the longitudinal plane, and MLA and HPD in the transverse plane. Interclass correlation coefficients (ICC) with 95% CIs and Bland–Altman analysis were used to assess intra- and interobserver measurement’s repeatability. The ICC of the ITU for the same observer was adequate for all the parameters (p < .005) AoP 0.98 (95%CI, 0.96–0.99), PD 0.98 (95%CI, 0.97–0.99), MLA 0.99 (95%CI, 0.97–0.99), HPD 0.96 (95%CI, 0.88–0.99). The ICC of the ITU for interobserver was: AoP 0.93 (95%CI, 0.79–0.98), PD 0.92 (95%CI, 0.76–0.97), MLA 0.77 (95%CI, 0.42–0.92), HPD 0.47 (95%CI, −0.12–0.8). The HD had an interobserver correlation of 0.53 (95%CI, 0.1–0.9) (Kappa C). The mean difference of the AoP was 2.42°, of the PD 1 mm and 0.28° MLA (Bland–Altman test). ITU has an adequate intra- and interobserver correlation for its use with contraction and pushing under epidural analgesia.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/161624
https://doi.org/10.1080/01443615.2017.1354179
url https://hdl.handle.net/11441/161624
https://doi.org/10.1080/01443615.2017.1354179
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of obstetrics and gynaecology, 38 (3), 333-338.
https://www.tandfonline.com/doi/full/10.1080/01443615.2017.1354179
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Informa Healthcare
publisher.none.fl_str_mv Informa Healthcare
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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